| Good Samaritan Medical Group Inc. | |
|
4343 Market St Ste C Riverside CA 92501-3567 | |
| (951) 784-7406 | |
| (951) 784-7409 |
| Full Name | Good Samaritan Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4343 Market St Ste C, Riverside, California |
| Authorized Official Name and Position | Vien D Doan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9517847406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Medical Group Inc. 4343 Market St Ste C Riverside CA 92501-3567 Ph: (951) 784-7406 | Good Samaritan Medical Group Inc. 4343 Market St Ste C Riverside CA 92501-3567 Ph: (951) 784-7406 |
| NPI Number | 1649015942 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649015942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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